Application form Participant "Living together in Europe"
This form is the official application form for being a participant in the Youth Seminar "Living together in Europe: Our Challenge!" that will take place from Sunday 7th to Saturday 13th of May 2017 (arrival and departure days included) in THESSALONIKI (Greece).
All the elements concerning the seminar's aim, objectives, programme and financial conditions are described in the CALL FOR PARTICIPANTS "Living together in Europe"

THIS CALL IS OPEN UNTIL THE 3rd OF MARCH 2017!

Name
Your answer
Surname
Your answer
Country of Residence
Your answer
Date of birth
MM
/
DD
/
YYYY
Gender
Email
Your answer
Address
Street / Nr / Zip code / City / Country
Your answer
Telephone number
With country code (ex. +33 for France)
Your answer
Main profession or occupation
Your answer
Organisation
Your answer
Organisation's address
Street / Nr / Zip code / City / Country
Your answer
Contact person (within the organisation)
Name / Surname / Position / Email address
Your answer
What is your position / responsibility within your organisation?
Do you need a VISA for traveling to Greece?
If yes, please give your passport information for the invitation letter
Place of birth / Passport number / Issued at (place) / Issued on (date) / Valid until (date)
Your answer
Do you have any special needs or requirements?
Special diet, vegetarian with or without fish, physical condition, disability etc.
Your answer
Emergency contacts (1 or 2)
Name / Surname / Relation to you / Phone number / Language(s) this person speaks
Your answer
What is your motivation to take part in this youth seminar?
Your answer
What are your expectations for this seminar?
Your answer
What is your experience in international activities, with intercultural groups?
Your answer
Have you already implemented local actions on access to Social Rights for young people or social inclusion? Please explain
Your answer
Do you already have experience in structured dialogue (support to policy reform, work with local authorities / policy-makers)? Please explain
Your answer
I commit myself to attend the whole duration of the seminar from Sunday 7th to Saturday 13th of May 2017 (5 working days) in THESSALONIKI (Greece)
I commit myself to: prepare carefully for the seminar; forward the knowledge acquired during the seminar in my organisation once I go back & work in collaboration with my organisation to implement an action at local level
I am aware of the financial conditions for my participation in the seminar (travel costs, participation fees) & that obtaining a health and a full travel insurance are my own responsability at my own expenses
I authorise the teamers to publish, in whatsoever form by whatever medium (including internet) the outcomes of the seminar and the pictures taken during this activity
Other concern(s) I would like the coordinator or the team of the seminar to know about my application:
Your answer
THANK YOU FOR YOUR APPLICATION :)
We will go back to you by Thursday 9th of March 2017 the latest!
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